The Advantage Plus Client Presentation & Enrollment Process
A complete step-by-step guide for Medicare agents on how to properly prepare, present, compare, enroll, document, and service a client using the Advantage Plus portal.
The Purpose of This Page
This page is designed to help agents follow a consistent, compliant, client-focused process from the first Scope of Appointment through long-term member retention. Medicare sales should never be rushed, pressured, or based only on one benefit. Every recommendation should be based on the client’s doctors, medications, pharmacy, medical needs, financial needs, plan eligibility, enrollment period, service area, and personal preferences.
Start With Permission
Never begin a Medicare sales discussion without a valid Scope of Appointment covering the products the client agreed to discuss.
Document Everything
Use the Advantage Plus portal to create the client account, document client information, enter medications, providers, pharmacies, and notes.
Service After Enrollment
The agent’s job does not end after submission. Follow up, help the member use benefits, and stay connected throughout the year.
Need the Quick Checklist Version?
Download our Medicare checklist and keep it available during client appointments as a quick step-by-step reminder.
Download Our Medicare ChecklistComplete Step-by-Step Client Process
Follow this workflow every time. A clean process protects the client, protects the agent, improves retention, and creates a better member experience.
Start With the Scope of Appointment
Before discussing Medicare Advantage, Part D, Medicare Supplement, dental, vision, hospital indemnity, or any other product, obtain a valid Scope of Appointment for the product types the client wants to discuss.
- Confirm the client selected the product categories they want to review.
- Do not discuss products that are not included on the SOA.
- Save the completed SOA in the client record.
- Confirm the appointment date, time, method, and client contact information.
- If the client wants to discuss additional product types later, obtain a new or updated SOA before discussing them.
Schedule the Initial Meeting
After the SOA is completed, schedule the initial meeting and clearly explain what the appointment is for.
- Confirm whether the meeting is by phone, video, office, home, or community location.
- Tell the client what information to have ready: Medicare card, Medicaid card if applicable, medication list, doctor list, pharmacy, current plan card, and any notices from the plan.
- Do not promise savings, eligibility, provider access, or benefits before verifying them.
- Use only approved marketing materials and approved carrier resources.
Create the Client Account in the Advantage Plus Portal
At the meeting, begin by creating or updating the client profile in the Advantage Plus portal. This becomes the working file for the full review.
- Enter the client’s full legal name exactly as shown on Medicare records.
- Enter date of birth, phone number, email, address, county, ZIP code, and preferred language.
- Confirm Medicare Part A and Part B effective dates.
- Document Medicaid, LIS/Extra Help, employer coverage, VA/TRICARE, retiree coverage, or other coverage if applicable.
- Upload or save the SOA, notes, and supporting documents when available.
Confirm Eligibility and Enrollment Period
Before comparing or submitting an application, confirm that the client has a valid enrollment period and is eligible for the plan type being considered.
- Confirm the client lives in the plan service area.
- Confirm active Medicare Part A and Part B for Medicare Advantage.
- Confirm whether the client has a valid election period.
- Do not use an SEP unless it truly applies.
- Document the election period used and why it applies.
Complete a Needs-Based Conversation
The client conversation should focus on what matters most to the client, not just the lowest premium or one attractive benefit.
- Ask what they like and dislike about their current coverage.
- Ask whether keeping specific doctors, specialists, hospitals, or medical groups is important.
- Ask about prescription drug needs, pharmacy preference, and mail-order preference.
- Ask whether dental, vision, hearing, transportation, OTC, fitness, meals, or other supplemental benefits are important.
- Ask about chronic conditions, upcoming procedures, specialist care, and preferred care locations.
Enter All Medications in the Portal
Medication review is one of the most important parts of the Medicare plan comparison. Enter every medication into the Advantage Plus portal before recommending a plan.
- Enter medication name, dosage, quantity, frequency, and refill timing.
- Enter preferred pharmacy and compare available pharmacy options.
- Review monthly drug cost estimates and annual drug cost estimates.
- Check individual drug tiers, copays, coinsurance, restrictions, prior authorization, step therapy, and quantity limits.
Enter and Verify All Providers
Never assume a doctor is in-network. Always verify providers in the portal and through carrier resources when needed.
- Enter primary care doctor, specialists, clinics, hospitals, medical groups, and preferred facilities.
- Verify each provider’s plan participation.
- Confirm whether the provider is under the correct medical group, IPA, network, and service area.
- Document any provider concerns or client decisions if a provider is not aligned.
Compare Plans Under Quote & Enroll
Use the Advantage Plus portal Quote & Enroll section to compare available plans based on the client’s actual information.
- Compare plans available in the client’s ZIP code and county.
- Review premium, maximum out-of-pocket, medical copays, hospital costs, urgent care, emergency room, labs, imaging, and outpatient surgery.
- Compare prescription drug costs by monthly estimate and annual estimate.
- Review dental, vision, hearing, OTC, transportation, fitness, meals, flex card, and other benefits when applicable.
Present the Plan Options Clearly
The client should understand the differences between the plans before making a decision.
- Explain why each plan may or may not fit the client’s needs.
- Review provider access and medical group alignment.
- Review drug coverage, pharmacy choice, copays, and annual cost estimates.
- Review benefits and limitations, not just the highlights.
- Let the client make the final decision without pressure.
Review Compliance Disclosures Before Enrollment
Before submitting an application, make sure the client understands what they are enrolling into.
- Confirm the client understands the plan name, carrier, plan type, effective date, premium, and service area.
- Review the Summary of Benefits, provider directory, pharmacy directory, formulary, and star rating information.
- Explain that provider and pharmacy participation may change.
- Explain that enrollment is subject to approval by the carrier and Medicare.
Complete the Application in the Portal
Once the client chooses a plan, complete the application through the Advantage Plus portal Quote & Enroll workflow.
- Enter information exactly as shown on Medicare records.
- Confirm spelling, date of birth, Medicare number, address, phone number, and effective dates.
- Select the correct election period.
- Review all application questions carefully.
- Provide confirmation information and explain next steps.
Finalize Documentation After Submission
After the application is submitted, complete the file properly inside the portal.
- Save confirmation number or application ID.
- Document plan selected, effective date, election period, and reason for recommendation.
- Document medications reviewed, pharmacy reviewed, providers reviewed, and benefit priorities discussed.
- Set a follow-up task for 5–7 days after enrollment.
Follow Up 5–7 Days After Enrollment
Every client should receive a follow-up call after enrollment to confirm they understand what happens next.
- Confirm whether they received carrier communication or member package.
- Ask whether they received an ID card or welcome letter.
- Review the effective date again.
- Answer questions about PCP, pharmacy, prescriptions, dental, vision, OTC, transportation, or other benefits.
Assist With Supplemental Benefits After the Plan Is Active
Once the plan is active, help the member understand and use their benefits.
- Help them create their carrier member portal account if needed.
- Help them understand OTC, dental, vision, hearing, transportation, fitness, flex card, meals, or other plan benefits.
- Help them locate in-network dental and vision providers if applicable.
- Document all service activity in the portal.
Begin Member Retention and Ongoing Service
Once the plan is active, the Advantage Plus member retention campaign begins. Retention is not just marketing; it is service.
- Stay in contact throughout the year.
- Help the member understand benefit changes, carrier notices, ANOC letters, and plan updates.
- Check in before AEP to review doctors, medications, and benefits again.
- Remember: servicing members is what we do.
Client Service Is the Advantage Plus Standard
A compliant enrollment is only the beginning. Our agents are expected to educate, document, compare carefully, enroll accurately, follow up, and continue servicing members throughout the year.
Download Our Medicare ChecklistCompliance Note: This page is for agent education and internal workflow support. It does not replace CMS guidance, carrier training, plan-specific rules, state licensing requirements, or legal/compliance review.